Useful Checklists and Guides

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Academic Problem Identification Checklist

Classroom Daily Report

Fun Ideas List

Hyperactivity Screening Checklist

Medication Effectiveness Report Form – Parent Version

Medication Effectiveness Report Form – Teacher Version

Mistakes are Delicate

Social / Emotional / Academic Adjustment Checklist

Super Strokes

Taylor Math Grids – Primary and Advanced Versions

Using The Best Learning Channel

Academic Problem Identification Checklists

Ideal for use during parent-teacher conferences, this form facilitates a working partnership about key areas of potential difficulty for academically at-risk students, K-12. It inventories 53 potential problems, clustered into eight areas: academic skills, attendance, attention control, comprehension, emotional control, problem solving, productivity, and social skills. Duplication of this form is permitted.

Classroom Daily Report Form

This form facilitates daily contact between the parent and the teacher. It allows convenient reporting of the key problems often encountered with at-risk students and includes provision for the teacher and parent to send additional messages and indicate receipt of the form. Behavior monitored on this form includes arrival with needed materials, on-task time, classroom participation and deportment, seat work and homework efficiency, overdue work still out, and homework assignments given. Duplication of this form is permitted.

Fun Ideas List

Compiled over a ten-year period by Dr. John Taylor, this list gives about a hundred suggestions for fun things actually used by parents of hyperactive children to help any child stay entertained and out of mischief when boredom threatens.

Hyperactivity Screening Checklist

Of the screening checklists currently available for ADHD, this is one of the more user-friendly, convenient and versatile. It can be given orally and takes less than three minutes to administer. It applies to a wide age range (two through adult) and is so easy to understand that it can even be administered directly to the child (age 7 or above). This checklist is for initial quick screening only. Duplication of this form is permitted.

Medication Effectiveness Report Form Parent Version

This form provides a convenient, accurate way for parents to report medication effects to the physician in order to facilitate dosage adjustment or selection of alternative medication. It assesses the intended effects and includes side effects with provision for reporting additional positive and negative effects. Use it weekly to help establish correct dosage, then periodically to check continued medication effectiveness. Duplication of this form is permitted.

Medication Effectiveness Report Form Teacher Version

This form provides a convenient, accurate way for teachers to report medication effects to the physician in order to facilitate dosage adjustment or selection of alternative medication. It assesses the intended effects and includes side effects with provision for reporting additional positive and negative effects. Use it weekly to help establish correct dosage, then periodically to check continued medication effectiveness. Duplication of this form is permitted.

Mistakes Are Delicate

Social / Emotional / Academic Adjustment Checklist

This is an unnormed checklist for initial screening of social, emotional, or academic difficulties in any student (K-12). The teacher fills it out, usually in less than a minute, and scoring is immediate. The checklist screens for abnormalities in achievement concern, creative initiative, independence, alertness, attendance, comprehension, attention span, self-confidence, self-discipline, emotional control, relationships with peers and relationships with school staff. Duplication of this form is permitted.

Taylor Math Grids

These grids are ideal for assisting any student who has visual perceptual, eye-hand or visual organizational difficulties resulting in trouble keeping columns of numbers vertical when doing math seat work or homework. Simply run off several pages and offer these grids in place of ordinary notebook paper. The student puts one digit in each square. The vertical pull of the Taylor Math Grids aids further in helping the student keep math columns straight. These grids are especially helpful with division and multiplication, which require the student to write digits diagonally across the paper, then add them up vertically.